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Hypoglycemia and Diabetes: A Report of a Workgroup of the American Diabetes
Association and The Endocrine Society
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Elizabeth R. Seaquist, M.D., John Anderson, M.D., Belinda Childs, A.R.N.P., M.N., B.C.-A.D.M., C.D.E., Philip Cryer, M.D., Samuel Dagogo-Jack, M.D.,
M.B.B.S., M.S.C., Lisa Fish, M.D., Simon R. Heller, M.D., Henry Rodriguez, M.D., James Rosenzweig, M.D., Robert Vigersky, M.D.
Diabetes Care Volume 36: 1384-1395
May, 2013
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STUDY OBJECTIVE
• To review recent evidence about hypoglycemia from the American Diabetes Association and The Endocrine Society
• To provide guidance about how this information should be incorporated into clinical practice
Seaquist E. R. et al. Diabetes Care 2013;36:1384-1395
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PARTICIPANTS
• Five members of the American Diabetes Association and five members of The Endocrine Society with expertise in different aspects of hypoglycemia contributed
• Planning conference call and a 2-day meeting attended by staff from both organizations occurred
• Subsequent communications took place via e-mail and phone calls
Seaquist E. R. et al. Diabetes Care 2013;36:1384-1395
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EVIDENCE
• Writing group considered data from recent clinical trials and other studies to update the prior workgroup report
• Unpublished data were not used
• Expert opinion was used to develop some conclusions
Seaquist E. R. et al. Diabetes Care 2013;36:1384-1395
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CONSENSUS PROCESS
• Consensus was achieved by group discussion during conference calls and face-to-face meetings and by iterative revisions of the written document
• Document reviewed and approved by the American Diabetes Association’s Professional Practice Committee in October 2012 and approved by the Executive Committee of the Board of Directors in November 2012
• Document reviewed and approved by The Endocrine Society’s Clinical Affairs Core Committee in October 2012 and by Council in November 2012
Seaquist E. R. et al. Diabetes Care 2013;36:1384-1395
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CONCLUSIONS
• Workgroup reconfirmed the previous definitions of hypoglycemia in diabetes, reviewed the implications of hypoglycemia on both short- and long-term outcomes, considered the implications of hypoglycemia on treatment outcomes, presented strategies to prevent hypoglycemia, and identified knowledge gaps that should be addressed by future research
• Tools were provided for patients to report hypoglycemia at each visit and for clinicians to document counseling
Seaquist E. R. et al. Diabetes Care 2013;36:1384-1395
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Seaquist E. R. et al. Diabetes Care 2013;36:1384-1395
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Seaquist E. R. et al. Diabetes Care 2013;36:1384-1395
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Seaquist E. R. et al. Diabetes Care 2013;36:1384-1395